16-105869 4 4‘ Plumbing
Community
City
evelopralWt " =' Permit #:16-105869-00-PL
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: DIGESTIVE HEALTH SPECIALISTS
Project Address: 33915 1ST WAY S Parcel Number:926504 0150
Project Description: Adding(1)hand sink
Owner Applicant Contractor
CUNA MUTUAL INVESTMENT CORP AMERICAN MECHANICAL CORP AMERICAN MECHANICAL CORP
5910 MINERAL POINT RD PO BOX 1136 AMERIMC071BH(1/10/17)
MADISON WI 53701 MONROE WA 98272 PO BOX 1136
MONROE WA 98272
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Sinks 1
PERMIT EXPIRES Saturday,10 June,2017
Permit Issued on Monday,December 12,2016
I hereby certify that the above information is correct and that the construction on the above described property
and the occupancy and the use will be in accordance with the laws, rules and regulations of the State of
Washington and the City of Federal Way.
/° /‘Owner or agent: Date:*—g—/La
THIS CARD IS TO REMAIN ON-SITE
CITYOF Way Inspection Record
Federal ay INSPECTION REQUESTS:(253)835-3050
PERMIT#: 16 105869 00 Address: 33915 1ST WAY S Unit 200
Project: CUNA MUTUAL INVESTMENT CO] FEDERAL WAY WA 98003
Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD. Inspections are listed as close to sequential order as possible
(read left to right,top to bottom). Please schedule inspections as appropriate. Work must not be covered until it is approved. Check with your inspector if
you are unsure about any of the inspections or the inspection sequence. On-going inspections are logged on the back of this card.
Q Plumbing Groundwork(4190) 0 Rough Plumbing(4230) LJ Final-Plumbing(4075)
Approved to cover Approved Approved
By Date ,�By (y�,,,,_1 Date ‘1_,..)L4,1 j, By /L Af Date i '1 ce)i^7 .
vt A ‘,"s -N) E % yL .= 1-.4. 11 -r eF—G 1A es,.. Lal A .
0 Rough Electrical 0 Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date
CITY �1--- PERMI'IIPPLICATION
PERMIT CENTER 33325 8th Avenue South+Federal Way,WA 98003-6325
Federal �y +253-835-2607+FAX 253-835-2609+permitcE r om
PERMIT NUMBER "(42 _ I '0 5 6', �(./ _ DED 12 2016
TARGET DATE
CITY OF FEDFRA( WAY
SITE ADDRESS SUITE/U�II)t
3'7f W5PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL it
TYPE OF PERMIT ❑ BUILDING I PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT M\a� \$ \j r t , S\`(\V—
PROJECT DESCRIPTION ����Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER U\5e, Q��Ili\CJ \ (O'LQ23 00
MAILING ADDRESS E-MAIL
C 1 X - (c° eo�rA ` , wr ZIgK.k \
A I 1 iUMtO �iJX\\C� PHONE
LING RADDRlESS , ^ E-MAIL
CONTRACTOR V °OX `V ) )
CITY�\110Y1Q0e.. STAWAE ZI - FAX
WA STATE CONTRACTOR'S LICENSE k (C�1 EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE e
\M 4- t. Cii k1 2c-0b —\02264-co-(al-
NAME PRIMARY PHONE
e\.c-t �c M L\\ft
APPLICANT IN ADS• =s E-MAIL
CITY STATE ZIP FAX COWte
N ` ^ PRIMARY PHONE
PROJECT CONTACT [v V. -\ ) II `,
(The individual to receive and ,MAILING ADDRESS �E--
respond to all correspondence 11{O1([a(\MCO(1Q(11 ( Q CCX'
concerning this application) `CITY w STATE FAX
l „
NAME
PROJECT FINANCING OWNER-FINANCED
When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.095)
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit.I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim(including costs,expenses,and attorneys'fees incurred in
the investigation and defense of such claim),which may be made by any person,including the undersigned,and filed against the city,
but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied t, t e city as a part of thi a.•lication.
SIGNATURE: /I DATE 12-1 121 ( V
PRINT NAME: -t .II
Bulletin#100—January 29,2016 Page 1 of 2 k:\Handouts\Pennit Application
• •
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
Indicate how many of each type of fixture to be installed or relocated as part of this project.Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS)commeroial)
BOILERS FURNACES HOT WATER TANKS)Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT $ 0.02
Indicate how many of each type of fixture to be installed or relocated as part of this project.Do not include existing fixtures to remain.
BATHTUBS or Tub/Shower Combo) LAVS)Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS I SINKS)K tchen/utility) WATER HEATERS(Ele t c)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes ❑ No ❑Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
I, .- tea+€
FIRST FLOOR(or Mobile Home)
�,�� 4 .
t . 41x. �_ i. �: ': '4
COVERED ENTRY —_—
rititi �.,-2',:1::,,,,'- v'` ,�..y s �,-40,,i- r,: 7A�%,d, ,,,,:.i.,-,65.,,,,,,,,,,, ,,,t,: fi' ''r+ ,. 4 >,1`
GARAGE E CARPORT ❑
f 3 ryry a ',.';',.',44,:l.''.: c^
Area Totals EXISTING PROPOSED TOTAL
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION Area in Occupancy Group(s) Construction #of Additional Information
Square Feet Type Stories
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area is Occupancy Group(s) Construction #of Additional Information
Square Feet pe Stories
TOTAL fit4 13';'4''':11'0'
xn ` ' ,-' c t x '' ,, % 1, ,4'17:`
TENANT AREA ONLY
B
..,..,,,<a,.'t �. ._r° .-0,20--03,0"'414001,.. _, , ,: � ' ,. a 10-00:x3,A0,4' s. .... . _ .03 '1
Bulletin#100—January 29,2016 Page 2 of 2 k:\Handouts\Pennit Application